Prescribed Pediatric Extended Care (PPEC)

Prescribed Pediatric Extended Care (PPEC) centers allow Medicaid eligible children from birth through age 20 with medically-complex conditions to receive continual medical care in a non-residential setting. When approved, children can attend a PPEC up to a maximum of 12 hours per day while receiving nursing services, personal care, developmental therapies, and caregiver training.

Prescribed Pediatric Extended Care (PPEC) Provider Qualifications

To enroll as a Medicaid provider, a PPEC must be licensed pursuant to Chapter 400 Part VI, Florida Statutes, and be in compliance with Chapter 59A-13, Florida Administrative Code.

A PPEC located in Alabama or Georgia that regularly provides services to Florida Medicaid recipients may enroll as an in-state Florida Medicaid provider. All the enrollment requirements that apply to in-state providers apply to Georgia and Alabama providers, except the PPEC must have licenses and permits applicable to the state in which they are located.

Prior Authorization Vendor

The Agency for Health Care
Administration (Agency) has entered into a contract with eQHealth Solutions, Inc. for utilization management, including prior authorization of PPEC
services.

The primary purpose of the
utilization management program is to safeguard against the provision of
unnecessary medical services or inappropriate use of Medicaid services and to
ensure appropriate care.

The Medicaid Provider General
Handbook contains requirements of the Florida Medicaid Program that apply to
all providers. Providers must follow the provisions of this handbook in
addition to their services specific handbook.

Florida Medicaid Health Care Alerts

Would you like Florida Medicaid
Health Care Alerts sent directly to your email account? The Florida
Medicaid program has an email alert system to supplement the present method of
receiving Provider Alerts and to notify registered providers or interested
parties of "late-breaking" information. An email will be delivered
to your mailbox when Medicaid policy clarifications or other health care
information is available that is appropriate for your selected provider type.